OATH OF UNDERTAKING

Republic Act 11261 - First Time Jobseekers Assistance Act

I, BRENZ KARL H. JALOS, 23 years of age, resident of Kabukiran Purok Maligaya, Barangay
Gulang Gulang, Lucena City for 23 years, availing the benefits of Republic Act 11261, otherwise
known as the First Time Job Seekers Act of 2019, do hereby declare, agree, and undertake to
abide and be bound by the following:

1. That I am a natural born Filipino citizen;

2. That this is the first time that I will actively look for a job, and therefore requesting
that a Barangay Certification be issued in my favor to avail the benefits of the law;

3. That I am aware that the benefit and privilege/s under the said law shall be valid only
for one (1) year from the date that the Barangay Certification is issued;

4. That I can avail the benefits of the law only once;

5. That I understand that my personal information shall be included in the Roster/List
of the First Time Jobseekers and will not be used for any unlawful purpose;
6. That I will inform and/or report to the Barangay personally, through text or other
means, or through my family/relatives once I get employed.

7. That I am not a beneficiary of the Job Start Program under R.A 10869 and other laws
that give similar exemptions for the documents and other transactions exempted
under R.A No. 11261;
8. That if issued the requested Certification, I will not use the same in any fraud, neither
falsify nor help and / or assist in the fabrication of the said certification;
9. That this undertaking is made solely for the purpose of obtaining a Barangay
Certification consistent with the objective of R.A No. 11261, and not for any other
purpose;

Signed this 2nd day of JANUARY 2024, in the City/Municipality of LUCENA.

Signed by: Witnessed by:

__________________________ ______________________ ______________________

First Time Jobseeker Barangay Official Barangay Official
For applicants at least fifteen years old to less than 18 years of age:

I , ____________________________________________, ____ years of age parent/guardian of

__________________________________________________, and a resident of
_____________________________________________, for ____ (years), do hereby give my consent for my
child/dependent to avail the benefits of Republic Act 11261 and be bound by the
abovementioned conditions.

Signed by:

______________________

Parent/Guardian: